F Flint Water Crisis Public Archive

Jay Fiedler

Section Manager, Surveillance and Infectious Disease Epidemiology Section, DHHS, Bureau of Disease Control, Prevention, and Epidemiology

29

Emails

Feb 2015–Dec 2015

Archive range

29 emails found.

Fwd: genesee and emergency declaration

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Hi Guys, | don't have anything written up - been staying away from this issue (kind of outside the CD realm, eh?). Mlive has had some good articles with timelines and actions taken by city/state government and the health department. When the Hurley Doc released her evaluation of lead data from their clinic evaluations there was an initial response from our environmental health folks that suggested that their data didn't show what Hurley's did. Unfortunately, after paring down MDHHS data to just kids who likely were exposed to Flint drinking water Eden (Wells) was quoted in one article that there indeed was an increase in kids less than 6 after the switch. (You may want to talk with Eden, Joyce - I've only been privy to what is in the news.) The Public Health Emergency was declared after that - (last Thursday). Honestly, | wouldn't offer too much information on this issue...(That's my 2 cents) Tim Tim Bolen Michigan Department of Health and Human Services; Regional Epidemiologist - Region 3 Midland County Health Department xxxEND_PAGE:dhhs03_b0325_1211_1212_1 001212 220 W. Ellsworth Street Midland, MI 48640-5194 Phone: (989)832-6690 Fax: (989)832-6628 Confidentiality Notice: This message, including any attachments, is intended solely for the use of the named recipient(s) and may contain confidential and/or privileged information. Any unauthorized review, use, disclosure or distribution of this communication(s) is expressly prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy any and all copies of the original message.

Fw: FW: genesee and emergency declaration

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Jay Fiedler, MS Section Manager Surveillance and Infectious Disease Epidemiology Section Bureau of Disease Control, Prevention, and Epidemiology Michigan Department of Health and Human Services 201 Townsend St - PO Box 30195 - Lansing, MI 48909 P: 517.335.9516 - E: fiedlerj@michigan.gov Confidentiality Notice: This message, including any attachments, is intended solely for the use of the named recipient(s) and may contain confidential and/or privileged information. Any unauthorized review, use, disclosure or distribution of this communication(s) is expressly prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy any and all copies of the original message.

Fwd: Call: Gillian Mohney of ABC News; 212/456-7211

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FYI this is continuing. Talked with Jen. We won't confirm individual cases. We also feel that they should be talking to the LHD at this point. Jen is getting back to her but is worried that this may get bigger. She's also going to talk with the PIO at DEQ. Jay Fiedler MDCH SIDE Section Manager 517/335-9516 Begin forwarded message:

water complaint resources

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irritation and tap water quality UK Drinking Water.pdf; SF Water 2013 Chloramines and skin irritation.pdf; Weintraub 2006 Hetergeneous dermatitis complaints after change in DW treatment Env Hith.pdf Hi Suzanne Thank you for the information on Legionella. For the non-lagionaila water issues, here are same documerts that might assist with thinking about complaints related to drinking water. The 2007 investigation in Vermont has some questions designed to assess health effects such as darrnatitis that might be helpful. However that investigation was very difficult, partly because some members of the community and outside groups attempted to Influence the results of the investigation. If you want te discuss that investigation further, | can contact the staff whe participated for their feedback. Hf you want to pursue these other complaints, it would be good to gather standard inforrnation on each cornplaint and categorize by syndrome, time, location, etc. You might already being doing this. We previously discussed syndramic surveillance; lam glad to discuss that further if you are interested. We don’t have experience doing that type of analysis in this situation but there might be athers who da. Regards Jonathan

RE: Follow-up Information

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Attached is additional information Shurood prepared yesterday to supplement cur conversation Information, it includes the number of canfirmed Legionella cases in Genesee County by calendar year. To clarify, the number we quoted for 2013 yesterday reflects our fiscal year which is October 2012-3013 and included confirmed and suspect cases. 1 xxxEND_PAGE:dhhs03_b0323_1188_1196_1 001189 Suzanne Cupal, M.PLH. Public Health Superviser Genesee County Health Department 630 S. Saginaw Street Suite 4 Flint, Mi 48502 (819) 788-7970

RE: Flint Hospital Meetings

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Good Morning Steve, xxxEND_PAGE:deq17_b444_2097_2098_1 Hope the meeting went well yesterday. We have a call first thing this morning with GCHD and CDC, We'd like to touch hase with you sometime after that regarding any action items from that call, get an update on any findings from the hospital meeting, and see if you've heard anything regarding the question on water main breaks from our initial meeting. After the call this morning (ll see if there’s a good tirne for a quick call with you, —Jay day Fleder 517.335.9516

RE: CDC-GCHD Call, 9:00am Apr 30th

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Hello, Attached please find the survey data of cases interviewed by MDHHS and Genesee Co HD so far (Epiinfo analysis} and updated info on the investigation (MDHHS Prelim Stats}. We've included an agenda to help guide tomarraw morning's cali. Call dgenda Summarizing the ® Prehminary Statistics MBHHS (Shannon & Susan} e interview Data MDHHS {Lily & Meghan} o EPI info Analysis @ £Pi Curve GCHD e © Biscussion of Current investigation Au Environmental investigation e Environmental Sampling Protocal cb xxxEND_PAGE:dhhs03_b0323_1188_1196_2 001190 e Piscussic All Additional Recommendations # Additional Recornmendatians COC/AH THi tomorrow then, Susan Bohm, M5 Manager, Enteric & Respiratory Hinesses Epidemiology Unit Surveillance and infectious Disease Epicerniology Division of Communicable Disease Michigan Department of Health and Hurnan Services 201 Townsend 3t, Sth Fir Lansing, Mi 48933 (sh and may iden sd fcs ithe senda! nf vephy e-rail ard

RE: CDC-GCHD Call

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Thanks, Suzanne. in just looking at this quickly, Pr wondering Hf you can you break down the epi curve in the following ways: -~Colar code the cases with exposure to McLaren during their incubation periods --Color code by sorne kind of indicator of exposure to Flint water (maybe G.3?). You've probably already looked at this in several different ways, and | think there are other ways to took at it as well, but perhaps that might help us. Thanks!

RE: CDC-GCHD Call

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Hello, Yes, 9:00 or 9:30 on Thursday works for us. Let us know the final details when they're decided. O# the topics mentioned below, at this point in time it would be best to focus or: » the current investigation, e® CDC walk-through of the environmental sarnniing protecal, @ anda discussion of any additional recommendations. it's very likely that these topics wil fil our allotted time. There’s no need te discuss the clinical specimen collection and guidance that has already been provided to GCHD and sent te local providers. The syndramic surveillance data project 4 xxxEND_PAGE:dhhs03_b0323_1188_1196_4 001192 would be better handied at the focal/state level and should not take away from the ongoing epi investigation that we're currently assisting GCHD with. Thanks, and we look forward te hearing from you. --fay Jay Fiedler, MS Section Manager Surveillance and Infectious Disease Epidemiology Bureau of Disease Control, Prevention, and Epidemiology Michigan Department of Health and Hurnan Services 201 Townsend St - PO Box 301795 - Lansing, ME 48909 P) 517, 335.9516 - E: fledleriGimichigan.gov Confidentiality Notice: This message, including any attachments, is intended solely for the use of the named recipient(s) and may contain confidential and/or privileged information. Any unauthorized review, use, disclosure or distribution of this communication(s) is expressly prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy any and all copies of the original message.

RE: CDC-GCHD Call

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Hi Suzanne, lmet with colleagues and leadership at CDC, and we are very concerned about this Legionnaires’ disease outkreak. it’s very large, one of the largest we know of in the past decade, and community-wide, and in our opinion and experience it needs a comprehensive investigation. i know you all have been working on this for quite a while, but we are unclear 6 xxxEND_PAGE:dhhs03_b0323_1188_1196_6 001194 about which steps have been taken and what is currently known, and we feel a sense of urgency. is it possible to meet before May 8? it's difficult to give advice when we don’t have ali the information, but we are eager to help. You may have already taken several of these steps, but we recornmend a full investigation including the following steps: ~-Generate an epi curve, man the cases, interview ali cases with a hypothesis-generating questionnaire, analyze results

RE: CDC-GCHD Call

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Hello Suzanna, Looking at our schedules, we have limited availability of our core staff here at DHHS an Friday May 8°. In order to help prioritize or to determine if we should iook fer an alternate meeting time, can we get an idea of what the agenda will be for this call? Thanks, -lay Jay Fiedler, MS Section Manager xxxEND_PAGE:dhhs03_b0323_1188_1196_7 001195 Surveillance arid Infectious Disease Epidemiciogy Bureau of Disease Contra, Prevention, and Epidernicioay Michigan Departraent of Health and Human Services 204 Townsend Sk - PO Box 30795 - Lansing, MF 48909 Confidentiality Notice: This message, including any attachments, is intended solely for the use of the named recipient(s) and may contain confidential and/or privileged information. Any unauthorized review, use, disclosure or distribution of this communication(s) is expressly prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy any and all copies of the original message.

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